The work at a university clinic is characterized by teaching, research, and care of in- and out-patients. The combination of these basic tasks needs appropriate organization. To obtain optimal efficiency, the size and power of the single compartments, the teams working there are personal intentions of their members, and other special factors must be considered. Apart from local differences some basic outlines can be drawn characterizing the typical problems of an eye clinic taking into consideration its special matters. Moreover, the continuous clinical and scientific progress has to be taken in mind in order to create organizational forms feasable for change and adaptation. In this paper we present our considerations concerning the arrangement of our own clinic, and the experience gained in respect to the development of working methods. Some examples are given in order to demonstrate the realization of close conjunctions between the various parts of the clinic, and, likewise, the increase of efficiency of different methods and techniques gained by those means. This gives general ideas of the solution of some actual problems in a university eye clinic.